Laserfiche WebLink
� <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 —www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 6 AM TO 4 PM <br /> ,�`` -, f�i.��� YZ ST <br /> PROJECT ADDRESS <br /> ,�,� I�,� ; ��, )� �s3�ti zg�' �r ��. r� (lC���� c�qd0lz �l�si?S6?3y <br /> Owner Mail Address Ciry State;Zip Phone <br /> Tenant Mail Address City Slate/Zip Phone <br /> Eieclrical ContraclOr Mail Adtlress City S[ate2ip Phone <br /> State License Number Coniract Price of Work <br /> r �� <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Description of Work to Be Done� 1�I(Tk-��.��a ,��C.�\�Lc� i�`�- r/v�(J1C-��h4� �S �('/✓� UP' <br /> � LGv".00I �Z <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC Ok AC CA6LE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3705 <br /> 1 hereby certi/y thal I have read and examined this application and know the same to be true and <br /> correct. All provisions o/laws and ordinances goveminy this type o(work will be completed <br /> whefher specified herein or noL The graniing of a permd does not presume to give authonty to <br /> violate or cancel the provisions of any other state or local law regu/ating construction or the <br /> peAormance o/construclion. That I am authonzed by the owner o/th�s property to per/orm the . <br /> work lor wh;ch applicahon is made and 1 comply with the State Contractors Law 18.27 RCW and , <br /> 296.200 WAC. <br /> Signature �a�e ��a .� I� � <br /> �4 � <br />